Treatment 4

Seton / Kshara sutra / Chemical Fistulotomy

  • All type Fistula
  • 100% cure rate
  • No recurrence
  • Sphincter-saving treatment
  • No Incontinence

Fistula Plug Treatment

Anal fistula plug is made up of submucosa of the small intestine and is a highly sophisticated absorbable material which is absorbed or dissolved by the body in 6-8 weeks. This plug is placed and anchored in the fistula tract by a special technique and internal opening is closed over it.

Indications

  • high fistulae.
  • Long, complex fistulae.
  • Recurrent fistulae.
  • Horseshoe fistulae.
  • Anterior radial fistulae.
  • Low fistula if a patient wants painless, less hospitalization and fast recovery.

Advantages of fistula plug

  • Non-invasive
  • Little pain
  • Early recovery.
  • Less morbidity.
  • Short hospitalization.
  • No risk of incontinence
  • Biological closure.
  • Minimal foreign body reaction.

Lift Technique for Fistula

In the LIFT procedure, the sphincter is not divided. A cut is given and a plane is developed between the two anal sphincters and the fistula tract passing between the two anal sphincters muscles is isolated. This portion of the fistula tract between the sphincters is ligated and excised. The internal opening of the track is cauterized and the portion of the fistula tract outside the sphincters is curetted.

INDICATION 

  • High fistula.
  • Long Trans sphincteric fistula.
  • Recurrent fistulae.
  • Horseshoe-shaped fistulae.

Advantages

  • Less invasive
  • Little pain
  • Early recovery
  • Less morbidity
  • Short hospitalization
  • No risk of incontinence.

Chemical fistulotomy

LASER sphincterotomy